Roach Enterprises Inc
Organization Active NPI Community/Retail Pharmacy · Marked Tree, AR
NPI 1932271590 · NPPES record last updated Sep 19, 2025
Key facts
- NPI
- 1932271590
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- AR20314 (AR)
- Legal business name
- ROACH ENTERPRISES INC
- Practice address
- 98 Highway 63B Ste a
Suite a
Marked Tree, AR 72365-1614 - Phone
- (870) 358-2484
- Fax
- (870) 358-6337
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Donni Roach, B.S. PHARMACY
- Title
- President
- Phone
- (870) 358-2484
Corporate family (same tax ID) 1
Member of 1
Member organizations 1
Practitioners 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Roach Enterprises |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Seat Lift … | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930069527 | AR | DME Supplier - Pharmacy |
3779796586 | Practice locations: Marked Tree, AR |
| O20170105000734 | AR | Part B Supplier - Pharmacy | 3779796586 | Practice locations: Marked Tree, AR |
National Provider Directory
- Tax ID family
- Roach Enterprises Inc
Locations
98 Highway 63B
Ste A
Marked Tree, AR 72365
Phone (870) 351-5022
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | AR20314 | AR | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
98 Highway 63B Ste a
Suite a
Marked Tree, AR 72365-1614
Mailing address
98 Highway 63B Ste a
Suite a
Marked Tree, AR 72365-1614
Phone (870) 358-2484
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145129407 | Medicaid | AR | |
| 146998716 | Medicaid | AR | |
| 1995153 | Other | PK |
Other names
- Family Care Pharmacy
Other providers in Marked Tree, AR
- Nyal Drug Store, Inc
- Phillips Family Healthcare, LLC
- Tracy Renee Pilgrim
- Renal Treatment Centers - Southeast LP
- Riverside Ambulance Inc
- Roach Enterprises Inc
- Joe Roach
- Kimitaka Saito
- Bianca Smith
- Southern Health and Wellness, Inc
All providers in Marked Tree, AR · Community/Retail Pharmacy in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.